Mr John L Connolly, DDS in Cloquet, MN - Medicare Dentist Provider

Mr John L Connolly, DDS is a medicare enrolled "Dentist - General Practice" provider in Cloquet, Minnesota. His current practice location is 1600 Washington Ave, Cloquet, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 879-6703.

Mr John L Connolly is licensed to practice in Minnesota (license number 8214) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396813820.

Contact Information

	Mr John L Connolly, DDS
	1600 Washington Ave, Cloquet, MN 55720
	(218) 879-6703
	(218) 499-8033

Map and Direction

Healthcare Provider's Profile

Full Name	Mr John L Connolly
Gender	Male
Speciality	Dentist - General Practice
Location	1600 Washington Ave, Cloquet, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396813820
Provider Enumeration Date: 12/01/2006
Last Update Date: 02/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9931406915
Enrollment ID: I20160318002033

Medical Identifiers

Medical identifiers for Mr John L Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396813820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	8214 (Minnesota)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John L Connolly is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr John L Connolly, DDS 1600 Washington Ave, Cloquet, MN 55720 Ph: (218) 879-6703	Mr John L Connolly, DDS 1600 Washington Ave, Cloquet, MN 55720 Ph: (218) 879-6703

Reviews and Comments

Dentist in Cloquet, MN

Richard A Olson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1211 Stanley Avenue, Tomhave Olson Dental Assoc, Cloquet, MN 55720 Phone: 218-879-4541 Fax: 218-879-4542
Dr. Robert Alexander Johnson, DMD Dentist Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-879-1227 Fax: 218-878-2168
Steven M Tomhave, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1211 Stanley Avenue, Tomhave Olson Dental Assoc, Cloquet, MN 55720 Phone: 218-879-4541 Fax: 218-879-4542
Dr. Sophia Stangl, DDS Dentist Medicare: Medicare Enrolled Practice Location: 927 Trettel Ln, Cloquet, MN 55720 Phone: 218-878-2163
Dr. Kraig David Gunelson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1419 Cloquet Ave, Cloquet, MN 55720 Phone: 218-879-3341 Fax: 218-879-3342
Dr. Kim M Danielson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 716 14th St, Cloquet, MN 55720 Phone: 218-879-5271

Mr John L Connolly, DDS - Medicare Dentist in Cloquet, MN